GUSTAVO MARIN M.D.P.A. NPI 1396804514

NPI Information

NPI: 1396804514
Provider Name: GUSTAVO MARIN M.D.P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: EAST PLANO FAMILY CLINIC
Address: 2380 E PARK BLVD
SUITE 300
PLANO, TX
ZIP 75074
Phone: (972) 633-8747

Map and Directions

Get Directions

NPI Details

GUSTAVO MARIN M.D.P.A. is a family medicine in Plano, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GUSTAVO MARIN M.D.P.A. NPI is 1396804514. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Plano Family Clinic.

The provider's business location address is:

2380 E PARK BLVD
SUITE 300
PLANO, TX
ZIP 75074-151
Phone: (972) 633-8747
Fax: (972) 633-8356

The provider's authorized official is Nohora Marin .
The authorized official title is Office Manager and has the following contact phone number (972) 633-8747.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		E0540	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13085	OTHER	TEXAS	PARKLAND GROUP NUMBER
2	10027616	OTHER	TEXAS	AMERIGROUP GROUP NUMBER
3	8V4390	OTHER	TEXAS	BLUE CROSS BLUE SHIELD IN
4	H08V4391	OTHER	TEXAS	BLUE CROSS BLUE SHIELD IN
5	0086NL	OTHER	TEXAS	BLUE CROSS BLUE SHIELD GR
6	434703	OTHER	TEXAS	AETNA INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI